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脑肿瘤合并颅内出血的发生率为4%左右,主要见于转移性肿瘤与胶质瘤。脑膜瘤合并颅内出血者异常少见,至今也只有15例报告。本文报告了1例脑膜肉瘤并发硬膜下血肿。患者为36岁男性,因头痛、恶心、呕吐数周入院。CT扫描发现右侧硬膜下血肿或积液,右中颅凹与外侧裂有高密度区。右侧脑血管造影发现一个很大的无血管区。手术钻颅吸出血性液体150毫升。术后数天再次复发,又行第二次钻颅术。术后8天开颅探查,右侧额顶颞区有一大的硬膜下血肿,而且有坚硬的包囊围绕。并发现一个源于蝶骨脊外1/3的肿瘤,部分瘤体穿过血肿内壁突入腔内。血肿腔内尚发现几个小的
Brain tumor with intracranial hemorrhage incidence of about 4%, mainly seen in metastatic tumors and gliomas. Meningioma with intracranial hemorrhage is extremely rare, so far only 15 cases report. This article reports a case of meningioma complicated with subdural hematoma. The patient was 36 years old and was hospitalized for several weeks because of a headache, nausea and vomiting. CT scan showed that the right side of the subdural hematoma or effusion, right middle cranial fossa and lateral fissure with high-density area. Right cerebral angiography found a large avascular area. Surgery drill sucked 150 ml of bloody fluid. Recurrence after a few days after surgery, another line of craniofacial surgery. 8 days after craniotomy exploration, the right frontoparietal area has a large subdural hematoma, and surrounded by a hard capsule. And found one from the sphenoid ridge 1/3 of the tumor, part of the tumor through the hematoma wall into the cavity. Hematoma cavity still found several small